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Home My WebLink AboutZ-26259FOAM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26259 Date: 02/03/99 THIS CERTIFIES that the building DWELLING Location of Property 7020 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET} (HAMLET) County Tax Map No. 473889 Section 126 Block 0011 Lot 006 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26259 dated FEBRUARY 3~ 1999 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ACCESSORY WOOD FRAME GARAGE The certificate is issued to FREDERICK T COULTER ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A ctor BUILDING DEPARTMENT TOWN OF SOUTHOLD ~QVSIN~ COD~ INSPECTION REPORT LOCATION: SUBDIVISION: NAME OF OWNER (S): FREDERICK T COULTER OCCUPANCY: P~ES IDENTIAL ADMITTED BY: FREDERICK COULTER nOT (S) __ KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 126. -11-6 SOURCE OF KEQUEST~ FREDERICK COULTER. 11~25~98 DATE: 02/03/99 TYPE OF CONSTRUCTION: FOUNDATION: TOTAL RO(N4S: BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC EOTWATER: VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFOP~4 FIRE pP.~v'ENTION & BUILDIN= CODE ~ DESCRIPTION ART . SEC. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building amd unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwellim§ $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy -.$50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~cation of ?roperty..7;..%.~..~./~.C~.~.' .... ' ¢ ' - ...... ;.1 ....... ~ ....... House Ho. ~Street H~mlet ers of property(:o ,/ .. (/ zbdivision Filed Map Lot · ~rmit No Date Of Permit .. Applicant .... ~.alth Dept. Approval............ .......... . .. . Underwriters Approval ......................... ~anning Board Approval ....... aquest for: Temporary Certificate ........... Final Certicate ........... ...... THE NEW YORK BOARD OF FIRE UNDERWRITERS · ~ 7" .FAGE SUREAU OF ELECTRICITY ~-- 40 FULTON STREET, NEW YORK, NY 10038 ~-'~CEIlBER 15,19_oS ApplicaMon No. onfile 17337098/98 3t 062446 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above applicatlon number is in the premises of FREDERICK T. COULTER, 7020 PECONIC BAY BL'~., LAUREL, NY in the following location; [] Basement [] 1st Fl. [] 2nd Fl. OUT FIXTURE OUTLETS DECEI~BER O7,1972 RECEPTACLES SWITCHES Section Block and found to be in compliance with the National Electrical Code. DRYERS FURNACE FUTURE APPLIANCE SERVICE DISCONNECT iPECIAL REC'FI TIME CLOCKS OTHER APPARATUS: *NO VISUAL DEFECTS: "Pm electrical survey has been made of the exposed elecErical e:Fdlpment in the premxses indicated." "No obvious unsatisfactory condition was found. S E R V UNIT HEATERS C OF FEET E DIMMERS FREDERICK T. COULTER JL,ODEDoE ROAD I'~NHASSET, N'Y, 11030 GENERAL MANAGER must not be altered In any manner; return to the office of the a ir Incorrect. Inspectors may be Identified by their credentials. Boar~ .. Per--~ COPY FOR SUILDING DEPARTMENT. THIS COPy OF CERTIFICATE MUST NOT SE ALTERED IN ANY MANNER. CONSENT TO INSPECTION t ,(~.] , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) t~e owner(s) of the premises in the Town County tax map as District 1000, Section 1~ , Block I ~ , Lot ~ ~ ~ . That the undersigned (has) (have) riled, 'or caused to be [iled, au applica- tion in the Southold To~ Building Inspector's Office ~or the follow~g~. That the undersigned do(~) h~r~by giv~ consent to %e BulldOg Inspectors of the Tow~ of Southold to enter upon the above deJcrlbed property, including a~ a~d all bulldlng~ located thereon, to conduct ~uch inJp~cllon~ ~J the~ may deem n~c~s~ar~ wi[h r~sp~ct to th~ a[o~esaid application, ~clud~g inspections to determine that said p~emise~ comply wlth all o[ the lawe, ordinances, ~rules and regulatione of the Town of Southold. The unde~ei[ned, jn consenting to such ~spection~, do(ea) so ~%th the knowledge aud unde~etanding that an~ ~formation obtained ~ the conduct of such inspections may be used as evidence in subsequent prosecutions [or vio- lations of the laws, ordinances, rules o~ re~lations of the Town of Southold. Dated: (p~int name) (signature) (print name) TOWN OF SOUTHOLD PROPERTY RECORD CARD /~-~/ OWNER STREET "~,/~ ~'~ VILLAGE DIST. SUB. FOYER OWNER N , / S W AGE BUILDING CONDITION N~ NOR~L BELOW ABOVE FA~ Acre Volue Per V~lue Acre Filloble I 'ill,hie 2 'illable ,wampland FRONTAGE ON WATER [rushland ~ouse ~ -- _ BULKH~D ~, · ~e~ DOCK COLOR ~ ~ r. TRIM ~. .~ ~, _,.~_ / Dinette. ~ '2~ ~/' )~ )~/~ -~ ~ ~-~' Fou. nd~!on ~ ~ . Both / )ine,e Fl~rs ~ K. ~tension ~ ~ J~ - /~ ~ / ~ / ~ ~ Basement /~ / , ~ ~ nterior Finish ~ /~ LR. ~tension ~t. Wells Heet DR. ~tension Fire Pl~ce Type Roof ~ , R~ms ]st Floor BR. ~ Rooms 2nd Floor FiN. B. Po~ch ~ ~ ~ ~ / ~ ~ / ~ ~e~e~t~on Roo~ Porch Dormer ~- ~' Breezewoy Drivewey Garage ~ ~ ~P ~ p~t~o z~ ~, ~ /~ O'B' BUILDING DEIrl'. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLAC~/&CHIMNEY DATE ~~ IN~ 0.5' south reputed land now or formerly of KURZ north I~ he. 1.2~soulh on llne reputed h3~d now o~ formerly of CHARLES LEWIS m ~ OO ~rep~llad land ow or formerly of PALMER I MAP OF~' PR( ~~A~ SCALE = [' = 20 D~ PREPARED SIDENT JOHn'